{"id":"https://openalex.org/W4416359119","doi":"https://doi.org/10.1038/s41746-025-02074-3","title":"Diagnosis of cardiac conditions from 12-lead electrocardiogram through natural language supervision","display_name":"Diagnosis of cardiac conditions from 12-lead electrocardiogram through natural language supervision","publication_year":2025,"publication_date":"2025-11-19","ids":{"openalex":"https://openalex.org/W4416359119","doi":"https://doi.org/10.1038/s41746-025-02074-3","pmid":"https://pubmed.ncbi.nlm.nih.gov/41261169"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-025-02074-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-02074-3","pdf_url":"https://www.nature.com/articles/s41746-025-02074-3.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-025-02074-3.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054269188","display_name":"Xue Zhou","orcid":"https://orcid.org/0000-0002-9954-781X"},"institutions":[{"id":"https://openalex.org/I141591182","display_name":"University of Aizu","ror":"https://ror.org/02pg0e883","country_code":"JP","type":"education","lineage":["https://openalex.org/I141591182"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Xue Zhou","raw_affiliation_strings":["Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan","institution_ids":["https://openalex.org/I141591182"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073908515","display_name":"Tianhui Li","orcid":"https://orcid.org/0000-0001-6396-0998"},"institutions":[{"id":"https://openalex.org/I141591182","display_name":"University of Aizu","ror":"https://ror.org/02pg0e883","country_code":"JP","type":"education","lineage":["https://openalex.org/I141591182"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tianhui Li","raw_affiliation_strings":["Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan","institution_ids":["https://openalex.org/I141591182"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018513303","display_name":"Hiromasa Hayama","orcid":"https://orcid.org/0000-0001-6702-7150"},"institutions":[{"id":"https://openalex.org/I129634264","display_name":"Toho University","ror":"https://ror.org/02hcx7n63","country_code":"JP","type":"education","lineage":["https://openalex.org/I129634264"]},{"id":"https://openalex.org/I4210093329","display_name":"Toho University Ohashi Medical Center","ror":"https://ror.org/00mre2126","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210093329"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiromasa Hayama","raw_affiliation_strings":["Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan","institution_ids":["https://openalex.org/I129634264","https://openalex.org/I4210093329"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084726436","display_name":"Keijiro Nakamura","orcid":"https://orcid.org/0000-0002-1580-0890"},"institutions":[{"id":"https://openalex.org/I129634264","display_name":"Toho University","ror":"https://ror.org/02hcx7n63","country_code":"JP","type":"education","lineage":["https://openalex.org/I129634264"]},{"id":"https://openalex.org/I4210093329","display_name":"Toho University Ohashi Medical Center","ror":"https://ror.org/00mre2126","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210093329"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Keijiro Nakamura","raw_affiliation_strings":["Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan","institution_ids":["https://openalex.org/I129634264","https://openalex.org/I4210093329"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078450534","display_name":"Shing-Hong Liu","orcid":"https://orcid.org/0000-0002-3923-4387"},"institutions":[{"id":"https://openalex.org/I126145234","display_name":"Chaoyang University of Technology","ror":"https://ror.org/04xwksx09","country_code":"TW","type":"education","lineage":["https://openalex.org/I126145234"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Shing-Hong Liu","raw_affiliation_strings":["Department of Computer Science and Information Engineering, Chaoyang University of Technology, Taichung, Taiwan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Computer Science and Information Engineering, Chaoyang University of Technology, Taichung, Taiwan","institution_ids":["https://openalex.org/I126145234"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090739497","display_name":"Wenxi Chen","orcid":"https://orcid.org/0000-0002-7938-9033"},"institutions":[{"id":"https://openalex.org/I141591182","display_name":"University of Aizu","ror":"https://ror.org/02pg0e883","country_code":"JP","type":"education","lineage":["https://openalex.org/I141591182"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Wenxi Chen","raw_affiliation_strings":["Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan. wenxi@u-aizu.ac.jp","Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan. wenxi@u-aizu.ac.jp","institution_ids":["https://openalex.org/I141591182"]},{"raw_affiliation_string":"Division of Information Systems, Graduate School of Computer Science and Engineering, The University of Aizu, Aizuwakamatsu, Japan","institution_ids":["https://openalex.org/I141591182"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002708668","display_name":"Xinxia Zhu","orcid":"https://orcid.org/0009-0009-4041-1561"},"institutions":[{"id":"https://openalex.org/I114531698","display_name":"Tokyo Institute of Technology","ror":"https://ror.org/0112mx960","country_code":"JP","type":"education","lineage":["https://openalex.org/I114531698"]},{"id":"https://openalex.org/I4210125947","display_name":"Japan Research Institute","ror":"https://ror.org/02m5srn05","country_code":"JP","type":"facility","lineage":["https://openalex.org/I4210125947"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Xin Zhu","raw_affiliation_strings":["Department of AI Technology Development, M&D Data Science Center, Institute of Integrated Research, Institute of Science Tokyo, Tokyo, Japan. zhu.xin@tmd.ac.jp","Department of AI Technology Development, M&D Data Science Center, Institute of Integrated Research, Institute of Science Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of AI Technology Development, M&D Data Science Center, Institute of Integrated Research, Institute of Science Tokyo, Tokyo, Japan. zhu.xin@tmd.ac.jp","institution_ids":["https://openalex.org/I4210125947"]},{"raw_affiliation_string":"Department of AI Technology Development, M&D Data Science Center, Institute of Integrated Research, Institute of Science Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I114531698"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5002708668","https://openalex.org/A5090739497"],"corresponding_institution_ids":["https://openalex.org/I114531698","https://openalex.org/I141591182","https://openalex.org/I4210125947"],"apc_list":{"value":3060,"currency":"USD","value_usd":3590},"apc_paid":{"value":3060,"currency":"USD","value_usd":3590},"fwci":1.5883,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.8673315,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":97,"max":98},"biblio":{"volume":"8","issue":"1","first_page":"697","last_page":"697"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.0026000000070780516,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12419","display_name":"Phonocardiography and Auscultation Techniques","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/consistency","display_name":"Consistency (knowledge bases)","score":0.4512999951839447},{"id":"https://openalex.org/keywords/scalability","display_name":"Scalability","score":0.42160001397132874},{"id":"https://openalex.org/keywords/rank","display_name":"Rank (graph theory)","score":0.41510000824928284},{"id":"https://openalex.org/keywords/natural-language","display_name":"Natural language","score":0.3684000074863434},{"id":"https://openalex.org/keywords/software-deployment","display_name":"Software deployment","score":0.36039999127388},{"id":"https://openalex.org/keywords/electrocardiography","display_name":"Electrocardiography","score":0.34779998660087585}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4715999960899353},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4553000032901764},{"id":"https://openalex.org/C2776436953","wikidata":"https://www.wikidata.org/wiki/Q5163215","display_name":"Consistency (knowledge bases)","level":2,"score":0.4512999951839447},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.43970000743865967},{"id":"https://openalex.org/C48044578","wikidata":"https://www.wikidata.org/wiki/Q727490","display_name":"Scalability","level":2,"score":0.42160001397132874},{"id":"https://openalex.org/C164226766","wikidata":"https://www.wikidata.org/wiki/Q7293202","display_name":"Rank (graph theory)","level":2,"score":0.41510000824928284},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.38269999623298645},{"id":"https://openalex.org/C195324797","wikidata":"https://www.wikidata.org/wiki/Q33742","display_name":"Natural language","level":2,"score":0.3684000074863434},{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.36039999127388},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.34779998660087585},{"id":"https://openalex.org/C2776127602","wikidata":"https://www.wikidata.org/wiki/Q5038319","display_name":"Cardiac imaging","level":2,"score":0.3407999873161316},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.31450000405311584},{"id":"https://openalex.org/C108583219","wikidata":"https://www.wikidata.org/wiki/Q197536","display_name":"Deep learning","level":2,"score":0.263700008392334}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-025-02074-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-02074-3","pdf_url":"https://www.nature.com/articles/s41746-025-02074-3.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:41261169","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41261169","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:doaj.org/article:4a3c4b0c1bb04d53b9d49e28a3f611f6","is_oa":true,"landing_page_url":"https://doaj.org/article/4a3c4b0c1bb04d53b9d49e28a3f611f6","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 8, Iss 1, Pp 1-18 (2025)","raw_type":"article"},{"id":"pmh:oai:europepmc.org:11438282","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12630586","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1038/s41746-025-02074-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-025-02074-3","pdf_url":"https://www.nature.com/articles/s41746-025-02074-3.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G2248446395","display_name":null,"funder_award_id":"JPMJKB231","funder_id":"https://openalex.org/F4320334789","funder_display_name":"Japan Science and Technology Agency"},{"id":"https://openalex.org/G6551670351","display_name":null,"funder_award_id":"JP25K1597","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"},{"id":"https://openalex.org/G6571433518","display_name":null,"funder_award_id":"JP21K10287","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"}],"funders":[{"id":"https://openalex.org/F4320324016","display_name":"University of Aizu","ror":"https://ror.org/02pg0e883"},{"id":"https://openalex.org/F4320334764","display_name":"Japan Society for the Promotion of Science","ror":"https://ror.org/00hhkn466"},{"id":"https://openalex.org/F4320334789","display_name":"Japan Science and Technology Agency","ror":"https://ror.org/00097mb19"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4416359119.pdf","grobid_xml":"https://content.openalex.org/works/W4416359119.grobid-xml"},"referenced_works_count":50,"referenced_works":["https://openalex.org/W1963879009","https://openalex.org/W1963893855","https://openalex.org/W1980174032","https://openalex.org/W1984130418","https://openalex.org/W2021537935","https://openalex.org/W2029399558","https://openalex.org/W2071175231","https://openalex.org/W2096508288","https://openalex.org/W2105957757","https://openalex.org/W2114044187","https://openalex.org/W2115566134","https://openalex.org/W2302501749","https://openalex.org/W2610184543","https://openalex.org/W2763468619","https://openalex.org/W2905810301","https://openalex.org/W2906295032","https://openalex.org/W2908201961","https://openalex.org/W2965520043","https://openalex.org/W2967844572","https://openalex.org/W2982580298","https://openalex.org/W3081407028","https://openalex.org/W3086667591","https://openalex.org/W3088459955","https://openalex.org/W3097421803","https://openalex.org/W3129167842","https://openalex.org/W3199206152","https://openalex.org/W3217261033","https://openalex.org/W4205805845","https://openalex.org/W4210820893","https://openalex.org/W4250069500","https://openalex.org/W4255063816","https://openalex.org/W4286987939","https://openalex.org/W4295917908","https://openalex.org/W4296027312","https://openalex.org/W4306393617","https://openalex.org/W4313439128","https://openalex.org/W4389069972","https://openalex.org/W4391945871","https://openalex.org/W4394857110","https://openalex.org/W4396494945","https://openalex.org/W4396848156","https://openalex.org/W4399654602","https://openalex.org/W4400087060","https://openalex.org/W4400196929","https://openalex.org/W4401906673","https://openalex.org/W4404048058","https://openalex.org/W4411178516","https://openalex.org/W6884868110","https://openalex.org/W6903462226","https://openalex.org/W6940815720"],"related_works":[],"abstract_inverted_index":{"Current":[0],"AI":[1],"approaches":[2],"for":[3,60,86],"cardiac":[4,31,50,127],"diagnosis":[5,32,124],"require":[6],"condition-specific":[7,53,113],"supervised":[8,99],"learning":[9,27],"with":[10],"extensive":[11],"labeled":[12,120],"datasets,":[13],"leading":[14],"to":[15,28,67,139,151],"fundamental":[16],"scalability":[17],"barriers.":[18],"We":[19],"developed":[20],"an":[21],"ECG-CLIP":[22,47,97,122],"model,":[23],"applying":[24],"contrastive":[25],"multimodal":[26],"enable":[29],"zero-shot":[30,84],"from":[33,45,135],"12-lead":[34],"ECGs":[35],"using":[36],"natural":[37],"language":[38],"supervision.":[39],"Trained":[40],"on":[41,119],"800,034":[42],"ECG-text":[43],"pairs":[44],"MIMIC-IV-ECG,":[46],"evaluated":[48],"18":[49],"conditions":[51,128],"without":[52],"training.":[54],"The":[55],"model":[56],"achieved":[57],"superior":[58],"performance":[59,85,111],"rhythm":[61],"abnormalities":[62],"(AUROC":[63],">":[64],"0.90)":[65],"compared":[66],"morphological":[68],"conditions.":[69],"External":[70],"validation":[71],"demonstrated":[72],"robust":[73],"AUROC":[74],"rank":[75],"consistency":[76],"(":[77],"$${\\rm{\\rho":[78],"}}$$":[79],"=":[80],"0.934),":[81],"including":[82],"remarkable":[83],"pediatric":[87,91],"patients":[88],"despite":[89],"no":[90],"training":[92],"cases.":[93],"Direct":[94],"comparison":[95],"showed":[96],"approached":[98],"models":[100,138],"while":[101],"providing":[102],"broader":[103],"diagnostic":[104],"coverage.":[105],"Demographic":[106],"analysis":[107],"revealed":[108],"U-shaped":[109],"age-dependent":[110],"and":[112],"sex-age":[114],"patterns.":[115],"By":[116],"eliminating":[117],"dependence":[118],"data,":[121],"enables":[123],"of":[125],"various":[126],"via":[129],"text-based":[130],"queries.":[131],"This":[132],"paradigm":[133],"shift":[134],"rigid":[136],"task-specific":[137],"flexible":[140],"unified":[141],"systems":[142],"addresses":[143],"critical":[144],"deployment":[145],"barriers,":[146],"potentially":[147],"expanding":[148],"global":[149],"access":[150],"expert-level":[152],"ECG":[153],"interpretation.":[154]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-07-22T07:51:19.307946","created_date":"2025-11-19T00:00:00"}
